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Individual

KAYLA MARIE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4100 BERKSHIRE LN N, PLYMOUTH, MN 55446-3813
(612) 223-8898
Mailing address
34260 WELLS CREEK TRL, GOODHUE, MN 55027-8410
(651) 380-2612

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28753
MN

Other

Enumeration date
09/20/2023
Last updated
06/10/2024
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